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Prevention Research Center

Award Number: U48DP005022
ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION
OPDIV: CDC
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: HEALTH SERVICES

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Prevention Research Center - Abstract Key to all healthcare services, confidentially is particularly important in the delivery of sexual health services (SHS) to adolescents – a group that is simultaneously learning to use healthcare systems, to negotiate the new terrain of intimate relationships, and to renegotiate boundaries with parents. While a small literature has examined the impact of legal guarantees for confidentiality on adolescent healthcare use, little is known about parents’ roles in fostering adolescents’ transitions regarding the use of health care. Likewise, the role of providers in helping adolescents negotiate health care transitions has been poorly explored. The proposed project (CASH: Confidential Adolescent Sexual Health services) aims to examine the provision of confidential sexual health services to adolescents ages 11-17 years. This project would build upon the strengths of the University of Minnesota Prevention Research Center (UMN PRC; PI Sieving) in understanding the intersection of adolescent development, health care systems, and sexual health, and extend the work of the Adolescent Health Consortium project (PIs Klein and Santelli, in collaboration with the American Academy of Pediatrics) which is currently examining private time and confidentiality in the delivery of clinical preventive services to older adolescents and young adults. Grounded in our collective expertise, the CASH project will explore nuances and barriers to provision of confidential SHS to adolescents from the perspectives of adolescents, parents and providers. We would investigate the importance of private time and confidentiality in the receipt of screening, counseling, and services around sexual and reproductive health. Aim 1 would identify barriers and facilitators to confidential SHS for adolescents through in-depth qualitative interviews with providers, parents, and adolescents (11-17 years) in four counties in Minnesota. We would sample 24 primary care providers -- pediatricians, family physicians, and nurse practitioners working in urban and rural counties and in areas with higher and lower rates of adolescent pregnancy, as well as 48 sets of adolescents and parents from providers’ practices. Aim 2 would explore regional variations in perspectives of primary care providers regarding private time, confidentiality, and SHS for adolescents through 8 focus groups with a national sample of pediatricians, family physicians and nurse practitioners (n=80 primary care providers). Aim 3 would document prevalence of adolescents’ receipt of developmentally-appropriate SHS (e.g., screening, education, counseling, and services such as vaccines, condoms, contraception, and pre-exposure prophylaxis) through an internet survey (NIS) with a national probability sample of adolescent/parent dyads (n=1000 dyads). The NIS would also explore attitudes, motivations, barriers and facilitators to quality SHS. The proposed research will result in recommendations for improving delivery of adolescent SHS -- including messages for adolescents, parents, and providers; and ways for restructuring health care systems to facilitate the delivery of quality SHS.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2021 ( Subtotal = -$22,134 )
2021	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	03	5	11/3/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	-$22,134
2021	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	03	5	11/3/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2016	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	03	5	11/3/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2015	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	03	5	11/3/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2021	2014	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	03	5	11/3/2020	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = -$22,134

Issue Date FY: 2019 ( Subtotal = $0 )
2019	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 Oak St Se # 224	Minneapolis	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	01	5	1/20/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2019	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	02	5	7/3/2019	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
														Subtotal = $0

Issue Date FY: 2018 ( Subtotal = $1,464,000 )
2018	2018	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	00	5	8/31/2018	NON-COMPETING CONTINUATION	$1,464,000
2018	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	Minneapolis	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	05	4	7/26/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2018	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	001	4	12/19/2017	SUPPLEMENT FOR EXPANSION	$0
2018	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	04	4	5/7/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2018	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	06	4	9/18/2018	ADMINISTRATIVE SUPPLEMENT ( + OR - ) (DISCRETIONARY OR BLOCK AWARDS)	$0
2018	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	4	11/2/2017	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $1,464,000

Issue Date FY: 2017 ( Subtotal = $1,713,895 )
2017	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	003	4	9/1/2017	SUPPLEMENT FOR EXPANSION	$399,896
2017	2017	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	002	4	8/15/2017	NON-COMPETING CONTINUATION	$1,313,999
2017	2016	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE # 224	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	001	3	7/19/2017	SUPPLEMENT FOR EXPANSION	$0
2017	2016	REGENTS OF THE UNIVERSITY OF MINNESOTA	200 OAK ST SE	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	3	12/13/2016	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $1,713,895

Issue Date FY: 2016 ( Subtotal = $1,309,000 )
2016	2016	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	004	3	8/4/2016	SUPPLEMENT FOR EXPANSION	$250,000
2016	2016	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	003	3	7/18/2016	NON-COMPETING CONTINUATION	$1,059,000
2016	2016	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	005	3	8/31/2016	NON-COMPETING CONTINUATION	$0
2016	2015	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	001	2	2/1/2016	NON-COMPETING CONTINUATION	$0
2016	2015	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	2	12/24/2015	NON-COMPETING CONTINUATION	$0
2016	2015	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	006	2	9/22/2016	SUPPLEMENT FOR EXPANSION	$0
2016	2015	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	002	2	5/26/2016	NON-COMPETING CONTINUATION	$0
														Subtotal = $1,309,000

Issue Date FY: 2015 ( Subtotal = $1,213,000 )
2015	2015	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	007	2	8/11/2015	NON-COMPETING CONTINUATION	$983,000
2015	2015	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	008	2	8/31/2015	SUPPLEMENT FOR EXPANSION	$230,000
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	006	1	3/16/2015	SUPPLEMENT FOR EXPANSION	$0
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	005	1	3/6/2015	NEW	$0
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	002	1	12/22/2014	NEW	$0
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	003	1	2/2/2015	NEW	$0
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	001	1	12/16/2014	SUPPLEMENT FOR EXPANSION	$0
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	000	1	12/9/2014	SUPPLEMENT FOR EXPANSION	$0
2015	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	004	1	2/25/2015	NEW	$0
														Subtotal = $1,213,000

Issue Date FY: 2014 ( Subtotal = $1,233,067 )
2014	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	005	1	12/22/2014	NEW	$0
2014	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	001	1	9/14/2014	NEW	$249,867
2014	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	003	1	12/9/2014	SUPPLEMENT FOR EXPANSION	$0
2014	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	002	1	9/22/2014	SUPPLEMENT FOR EXPANSION	$233,200
2014	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Centers for Research and Demonstration for Health Promotion and Disease Prevention	000	1	5/27/2014	NEW	$750,000
2014	2014	UNIVERSITY OF MINNESOTA, MEDICAL SCHOOL	**	MINNEAPOLIS	MN	55455	HENNEPIN	USA	Health Promotion and Disease Prevention Research Centers: PPHF - Affordable Care Act Projects	004	1	12/16/2014	SUPPLEMENT FOR EXPANSION	$0
														Subtotal = $1,233,067

Grand Total All Awards = $6,910,829

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Prevention Research Center

Award Number: U48DP005022

ORGANIZATION: NATIONAL CENTER FOR CHRONIC DISEASE PREVENTION & HEALTH PROMOTION

OPDIV: CDC

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: HEALTH SERVICES

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